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目的提高对婴幼儿与年长儿肺炎支原体肺炎的临床认识。方法回顾性分析310例肺炎支原体肺炎患儿临床表现及实验室检查、影像资料与年龄之间的关系。结果婴幼儿(0~3岁)以咳嗽及喘息为著,肺部罗音多见,发热不明显,胸部影像学以小叶性肺炎多见,并发症少,合并呼吸道病毒感染者较多;而年长儿(>3岁)以发热及刺激性咳嗽为著,肺部体征不明显,易出现大叶性肺炎改变,易合并胸腔积液,肺不张,并发症多,合并EB病毒感染者较多。结论婴幼儿与年长儿肺炎支原体肺炎的临床特征有显著差异,根据其特点对诊治有所帮助。
Objective To improve the clinical knowledge of infants and children with Mycoplasma pneumoniae pneumonia. Methods A retrospective analysis of 310 cases of children with Mycoplasma pneumoniae clinical manifestations and laboratory tests, image data and the relationship between age. Results Infants and young children (0-3 years old) were mainly cough and wheezing. Their pulmonary rales were common and their fever was not obvious. Chest radiography was more common in lobular pneumonia with fewer complications and more patients with respiratory virus infection. Older children (> 3 years old) with fever and irritating cough, lung signs are not obvious, prone to lobar pneumonia, easy to merge pleural effusion, atelectasis, complications, with Epstein-Barr virus infection More. Conclusion The clinical features of mycoplasma pneumoniae pneumonia in infants and young children are significantly different, according to its characteristics of diagnosis and treatment is helpful.